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Maine rates for HCPCS 28092

Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.22 / $3,142.77 / $4,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.43 / $397.43 / $545.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.13 / $361.33 / $526.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.68 / $535.02 / $814.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.19 / $520.20 / $923.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.43 / $413.82 / $693.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.10 / $572.40 / $860.25